Organization
BLOOM & ASSOCIATES THERAPY P A
Active
Organization
BLOOM & ASSOCIATES THERAPY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN L BLOOM P.T. (OWNER PHYSICAL THERAPIST)
(785) 273-7700
Entity
Organization
Contact information
Practice address
4035 SW 10TH AVE, TOPEKA, KS 66604-1916
(785) 273-7700
(785) 273-7551
Mailing address
4035 SW 10TH AVE, TOPEKA, KS 66604-1916
(785) 273-7700
(785) 273-7551
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014722
BCBS PROVIDER NUMBER
KS
05
—
100331910A
—
KS
Enumeration date
10/26/2005
Last updated
05/01/2014
Update your record
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